374604245-8-16-2024-08-AS-SJAB-D9LSST-20240930140827

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604245
Report Date: 08/16/2024
Date Signed: 08/16/2024 09:28:47 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/06/2023 and conducted by Evaluator Tiffany Holmes

COMPLAINT CONTROL NUMBER: 08-AS-20231006123929

FACILITY NAME:	CHLOE'S HOME		FACILITY NUMBER:	374604245
ADMINISTRATOR:	ENGAY, ERWIN		FACILITY TYPE:	735
ADDRESS:	228 CARTER STREET		TELEPHONE:	(619) 995-8874
CITY:	EL CAJON	STATE: CA	ZIP CODE:	92020
CAPACITY:	4	CENSUS: 4	DATE:	08/16/2024
		UNANNOUNCED	TIME BEGAN:	09:05 AM
MET WITH:	Don Longalong,Administrator		TIME COMPLETED:	09:35 AM

ALLEGATION(S):

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Staff did not give medication as prescribed
Staff did not ensure adequate food service
Facility toilets were in disrepair
Staff did not meet clients hygiene needs
Staff did not treat clients with respect
Staff did not provide clean linens
Facility did not safeguard cash resources of client
Facility did not maintain telephone service

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA)Tiffany Holmes conducted an unannounced complaint visit to the facility to deliver findings on the above-mentioned allegations. LPA gained access to the facility, identified herself, and met with Don Longalong, Administrator to discuss the purpose of the visit.

LPA conducted the initial investigation visit on October 13, 2023. LPA conducted interviewes and reviewed records and conducted a physical inspection of the facility.

It was alleged that staff did not give medication as prescribed. Interviews revealed all medications provided to the cleints are given as prescribed. The staff document the medication being given to the cleint. If a cleint refuses to take their medication that is documented as well. Interviews revealed all clients get their medicaions at the time they are supposed to recieve them.

It was alleged that staff did not ensure adequate food service. Interviews revealed the clients are fed breakfast in the am prior to them going to program. They are also fed a snack when they come home from program and then dinner with a snack to follow. On the weekends when they are home they are fed those same meals and snacks along with a lunch.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20231006123929

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: CHLOE'S HOME	FACILITY NUMBER: 374604245
	VISIT DATE: 08/16/2024

NARRATIVE

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Interviews revealed the staff cannot make the clients eat but at the time they are having a meal and the client does not want to eat at that time, they will save the meal for the client for when they are ready to eat. Interviews with staff denied the allegation of the clients only eating one meal a day. Interviews revealed the meals served are nutritious and healthy for the clients. If a client wants seconds or thirds of a meal they are given more and interviews revealed the clients are able to eat until they are full or don't want any more to eat. Interviews revealed the meals they eat are different everyday.

It was alleged that the facility toilets were in disrepair. Interviews revealed all of the toilets work. There is one client that liked to put items down the toilet which causes them to overflow and clog. Interviews revealed they have called a plumber to come and fix the toilet in a timely a manner and there are other bathrooms for the clients to use when that one is out of order. Interviews revealed they have seen the client put items in the toilet. Interviews deny the allegation of clients having to defecate in the garage in a bag.

It was alleged that staff did not meet clients hygiene needs. Interviews revealed the clients are able to shower and complete their toileting on their own. Interviews revealed the clients are showered once a day or more as needed due to accidents. Interviews deny that staff only let them shower once a week. The clients all go to program and once they arrive back to the facility they know to get their items ready for their showers after they eat their snacks. Interviews revealed the staff provide the clients with all of their hygiene needs.

It was alleged that staff did not treat clients with respect. Interviews revealed the staff do not yell at them or abuse them. Interviews revealed that the clients are loved and treated kindly. Interviews with staff denied the allegation of not treating the clients with respect. Interviews revealed the clients are all respected.

It was alleged that staff did not provide clean linens. Interviews revealed the linens are cleaned weekly or as needed. There are extra linens for the clients if they have an accident their bed can still be changed while the linen is being washed. Upon LPA observations, LPA observed extra linens and flat sheets in some of the clients rooms if they were not on the beds.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20231006123929

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: CHLOE'S HOME	FACILITY NUMBER: 374604245
	VISIT DATE: 08/16/2024

NARRATIVE

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It was alleged that the facility did not safeguard cash resources of client. Interviews revealed the staff does not use any of the clients money to buy anything for the facility or food or items for staff. The staff denied this allegation and stated they use their own money for themselves and to purchase things for the facility. LPA observed each clients Personal and Incidentals (P&I) monies and the record showed all money spent and left over were all properly documented and the money was counted and accounted for.

It was alleged that the facility did not maintain telephone service. Interviews revealed they have always had a working telephone at the facility. Interviews revealed the phone is available at all times for any of the clients to use. They can make and receive calls on the house phone. LPAs observations revealed the phone has a dial tone.

The investigation did not produce supporting evidence or supporting witness statements to substantiate staff did not give medication as prescribed, staff did not ensure adequate food service, facility toilets were in disrepair, staff did not meet clients hygiene needs,
staff did not treat clients with respect, staff did not provide clean linens, facility did not safeguard cash resources of client and the facility did not maintain telephone service. Based on the evidence obtained from LPA observations, interviews, and a record review, the complaint allegation is unsubstantiated.

An exit interview was conducted with Don Longalong, Administrator and a copy of this report along with Licensee/Appeal Rights (LIC 9058 03/22) was provided at the conclusion of the visit.

SUPERVISORS NAME: Denise Powell
LICENSING EVALUATOR NAME: Tiffany Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 08/16/2024

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/16/2024

LIC9099 (FAS) - (06/04)

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